Digitally Supported Person-centered Care Systems

NCT ID: NCT07142616

Last Updated: 2025-08-26

Study Results

Results pending

The study team has not published outcome measurements, participant flow, or safety data for this trial yet. Check back later for updates.

Basic Information

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Recruitment Status

COMPLETED

Clinical Phase

NA

Total Enrollment

93 participants

Study Classification

INTERVENTIONAL

Study Start Date

2024-06-18

Study Completion Date

2024-12-31

Brief Summary

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The case history of patients with complex and long-term needs is often stored in fragments across many different care providers, each with a separate electronic health record. Even when the notes are stored in the same organization, the large volume of information makes it difficult for practitioners to grasp the full overview of the patient's situation.

The DigiTeam tool, combines information management features to present notes from across the care pathway from the three main providers: General Practice, Health and Social care Services, and Secondary care. It also includes summaries of the patient's concerns, conditions, and treatment plan. It provides links to the source documents that are the basis for the summaries.

The overarching aim is to examine the effect of physicians' use of the DigiTeam for three patient cases derived from real-world pseudonymized notes, on the quality of the physcians' ensuing case summary and treatment plan. In the comparator arms, physicians use usual care tools, i.e. only one or three sources of notes and no information management features.

Detailed Description

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Conditions

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Multiple Chronic Conditions

Study Design

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Allocation Method

RANDOMIZED

Intervention Model

PARALLEL

Participants are block randomized to balance the three arms (Usual care, 3 sources, Summaries). The sizes of the blocks are set by a trial service office, and not known to those involved in the trial.
Primary Study Purpose

HEALTH_SERVICES_RESEARCH

Blinding Strategy

SINGLE

Outcome Assessors
The Outcome Assessor of the primary outcome is a large language model, which assesses the answers provided by the participants without any information about group allocation.

Study Groups

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01 Usual care with clinical notes from one provider

Access to all clinical notes available to the provider in the patient's case. The provider is General practice in two patient cases, and hospital in one patient case.

Group Type ACTIVE_COMPARATOR

01 - Clinical notes from one provider

Intervention Type OTHER

Access to all clinical notes available to the provider in the patient's case. The provider is General practice in two patient cases, and hospital in one patient case.

02 Clinical notes from several providers

Access to all clinical notes across three providers: General practitioner, Social services and Specialist care.

Group Type ACTIVE_COMPARATOR

02 - Access to notes from primary and secondary care

Intervention Type OTHER

Access to all clinical notes across three providers: General practitioner, Social services and Specialist care.

03 - DigiTeam - Summaries of and clinical notes from several providers

Access to all clinical notes across three providers: General practitioner, Social services and Specialist care, like in arm 02. In addition, access to information management features, such as summaries of patient's priorities, and clinical summaries of key health problems, including links to source documents.

Group Type EXPERIMENTAL

03 - Summaries of and clinical notes from several providers

Intervention Type OTHER

Access to all clinical notes across three providers: General practitioner, Social services and Specialist care, like in arm 02. In addition, access to information management features, such as summaries of patient's priorities, and clinical summaries of key health problems, including links to source documents.

Interventions

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03 - Summaries of and clinical notes from several providers

Access to all clinical notes across three providers: General practitioner, Social services and Specialist care, like in arm 02. In addition, access to information management features, such as summaries of patient's priorities, and clinical summaries of key health problems, including links to source documents.

Intervention Type OTHER

01 - Clinical notes from one provider

Access to all clinical notes available to the provider in the patient's case. The provider is General practice in two patient cases, and hospital in one patient case.

Intervention Type OTHER

02 - Access to notes from primary and secondary care

Access to all clinical notes across three providers: General practitioner, Social services and Specialist care.

Intervention Type OTHER

Eligibility Criteria

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Inclusion Criteria

* General practitioner OR
* Physician who has graduated within the last five years.

If the recruitment is difficult, medical students and other physicians may be included.

To recruit participants, the trial will be announced through known networks, social media, the researchers' network, and general announcements.

Exclusion Criteria

* There is no exclusion criterium.
Eligible Sex

ALL

Accepts Healthy Volunteers

Yes

Sponsors

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Norwegian University of Science and Technology

OTHER

Sponsor Role collaborator

University Hospital of North Norway

OTHER

Sponsor Role lead

Responsible Party

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Responsibility Role SPONSOR

Principal Investigators

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Gro KR Berntsen, Prof

Role: PRINCIPAL_INVESTIGATOR

Norwegian Center for E-health Research

Locations

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University hospital North Norway

Tromsø, Troms, Norway

Site Status

Countries

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Norway

Other Identifiers

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2024/ 251632

Identifier Type: -

Identifier Source: org_study_id

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